Quality of life: pre-and post-functional endoscopic sinus surgery in chronic rhinosinusitis

S. Poojitha; Deepalakhmi Tanthry; Mahesh Santhraya G.; Devan P. P.; Rukma Bhandary; Vishwas K. Pai; Sanjana Kamath; Aisha Nehla

doi:10.18203/issn.2454-5929.ijohns20230754

Authors

S. Poojitha Department of Otorhinolaryngology, A J Institute of Medical Sciences, Mangalore, Karnataka, India
Deepalakhmi Tanthry Department of Otorhinolaryngology, A J Institute of Medical Sciences, Mangalore, Karnataka, India
Mahesh Santhraya G. Department of Otorhinolaryngology, A J Institute of Medical Sciences, Mangalore, Karnataka, India
Devan P. P. Department of Otorhinolaryngology, A J Institute of Medical Sciences, Mangalore, Karnataka, India
Rukma Bhandary Department of Otorhinolaryngology, A J Institute of Medical Sciences, Mangalore, Karnataka, India
Vishwas K. Pai Department of Otorhinolaryngology, A J Institute of Medical Sciences, Mangalore, Karnataka, India
Sanjana Kamath DNB CTVS, Fortis Hospital, Mohali, Chandigarh, India
Aisha Nehla Department of Otorhinolaryngology, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20230754

Keywords:

Chronic rhinosinusitis, FESS, QOL, SNOT-20, Lund- Kennedy endoscopy scores

Abstract

Background: Chronic sinusitis (CRS) includes all inflammatory diseases of the nose and paranasal sinuses with a minimum duration of 12 weeks. Physical examination (anterior rhinoscopy, endoscopy) and/or radiography, ideally from sinus computed tomography, can provide objective proof of the same. After failure of conservative treatment, functional endoscopic sinus surgery (FESS) is the preferred modality for chronic rhinosinusitis that has been frequently used over the past years.

Methods: The present prospective study aimed to assess the quality of life (QOL), the nasal endoscopy scores- before and after FESS in 60 patients aged more than 18 years suffering from chronic rhinosinusitis. QOL was assessed using SNOT-20 questionnaire and endoscopy was quantified using Lund-Kennedy sinonasal endoscopy scoring system.

Results: QOL scores were significantly higher (p<0.001) before surgery (41.28±15.30) than after FESS (6.83±5.96) indicating improvement in QOL. Lund-Kennedy endoscopy scores of patients suffering from chronic rhinosinusitis before and after surgery was also significantly reduced (p<0.001).

Conclusions: This study concludes that there is significant improvement in the QOL and reduction in the severity of symptoms in patients suffering from chronic rhinosinusitis after FESS.

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